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Norplant implants and cardiovascular disease
D B Petitti1, D S Siscovick, S Sidney
1Kaiser Permanente Southern California, Pasadena 91188, USA. diana.b.petitti@kp.org
Contraception
|July 23, 1998
Summary
Norplant implants were associated with an increased risk of stroke and myocardial infarction (MI). This study pooled data from two case-control studies to investigate these serious adverse events in users.
Area of Science:
- Reproductive Health
- Cardiovascular Health
- Pharmacovigilance
Background:
- A previous report indicated a higher-than-expected number of stroke hospitalizations among Norplant implant users.
- Norplant implants are a form of long-term reversible contraception.
- Concerns regarding serious adverse events necessitate further investigation into contraceptive safety.
Purpose of the Study:
- To assess the association between current Norplant implant use and the risk of stroke.
- To evaluate the association between current Norplant implant use and the risk of myocardial infarction (MI).
Main Methods:
- Pooled analysis of data from two U.S. population-based, case-control studies.
- Data collection occurred after Norplant implants were approved for marketing in the U.S. in December 1990.
- Focus on current users of Norplant implants.
Main Results:
- The study investigated the association between Norplant use and cardiovascular events.
- Findings are based on a pooled analysis of two distinct population-based studies.
- Specific quantitative results regarding stroke and MI risk are detailed in the full publication.
Conclusions:
- The study provides evidence on the association between Norplant implants and serious cardiovascular events.
- Findings contribute to understanding the risk-benefit profile of Norplant contraceptive use.
- Further research may be warranted to elucidate mechanisms and confirm findings.
Keywords:
AmericasBiologyCase Control StudiesCerebrovascular EffectsContraceptionContraceptive Agents, Female--side effectsContraceptive Agents, Progestin--side effectsContraceptive Agents--side effectsContraceptive Implants--side effectsContraceptive Methods--side effectsDeveloped CountriesDiseasesFamily PlanningHeart DiseasesLevonorgestrel--side effectsMyocardial InfarctionNorth AmericaNorthern AmericaPhysiologyResearch MethodologyResearch ReportRisk FactorsStudiesUnited States